Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.09 / $5,128.00 / $17,100.00	Facility		$402.09	$5,128.00	$17,100.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,518.34 / $5,772.11 / $14,934.15	Facility		$3,518.34	$5,772.11	$14,934.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,364.71 / $1,364.71 / $2,273.59	Facility		$1,364.71	$1,364.71	$2,273.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $272.16 / $498.79 / $5,967.13	Facility		$272.16	$498.79	$5,967.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $326.33 / $420.09 / $442.87	Facility		$326.33	$420.09	$442.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $289.47 / $302.08 / $839.66	Facility		$289.47	$302.08	$839.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,211.81 / $5,768.81 / $11,041.39	Facility		$4,211.81	$5,768.81	$11,041.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00